CREME DE LA CREME 1

SECTION 1557 OF THE AFFORDABLE CARE ACT APPLIES TO ALL HEALTH PROGRAMS AND ACTIVITES ADMINSTRATED BY OR RECEIVING FEDERAL FINANCIAL ASSISTANCE FROM HHS. WHICH MEDICARE PROGRAMS ARE COVERED BY ACA SECTION 1557? PARTS A,C, AND D, BUT NOT B UNDER ACA SECTION 1557, PROHIBITED ACTION INVOLVE ELIGIBILITY, CLAIMS, AND MARKETING UNDER ACA SECTION 1557, A PERSON CANNOT BE DISCRIMINATED AGAINST BASED ON HER LEGAL OR ILLEGAL IMMIGRATION STATUS OR ABILITY TO SPEAK ENGLISH

What is the policy of non-retaliation Protects employees who, in good faith, report suspected non-compliance These are examples of issues that can be reported to a compliance department :suspected fraud, waste, and abuse; potential health privacy violation and unethical behavior/employee misconduct True Once a corrective action plan begins addressing non compliance or fraud, waste and abuse committed by a sponsors employee or first tier, downstream, or related entity's (fdr's) employ...

A person comes to your pharmacy to drop off a prescription for a beneficiary who is a "regular" customer. The prescription is for a controlled substance with a quantity of 160. This beneficiary normally receives a quantity of 60, not 160. You review the prescription and have concerns about possible forgery. What is your next step? Call the prescriber to verify the quantity Your job is to submit a risk diagnosis to the Centers for Medicare & Medicaid Services (CMS) for the purpose of p...

Madeline Martinez was widowed several years ago. Her husband worked for many years and contributed into the Medicare system. He also left a substantial estate which provides Madeline with an annual income of approximately $130,000. Madeline, who has only worked part-time for the last three years, will soon turn age 65 and hopes to enroll in Original Medicare. She comes to you for advice. What should you tell her? You should tell Madeline that she will be able to enroll in Medicare Part...

Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and would like to know which of the following services Original Medicare will cover if the appropriate criteria are met? What could you tell her? Original Medicare covers ambulance services. Mr. Singh would like drug coverage but does not want to be enrolled in a Medicare Advantage plan. What should you tell him? Mr. Singh can enroll in a stand-alone prescription drug plan and continue to be covered for Part...

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Which of the following is not potentially a penalty for violation of the law or regulation prohibiting fraud, waste and abuse (fwa)? Deportation A person comes into your pharmacy to drop off a prescription for a beneficiary who is a regular customer. The prescription is for a controlled substance with a quantity of 160. This beneficiary normally receives a quantity of 60, not 160. You review the prescription and have concerns about the possible forgery. What is your next step? Call the ...

When you identify a potential victim, what is the very first thing you should do? Check the scene for safety. What is the recommended rate for performing chest compressions for victims of all ages? 100 beats per minute What should be the depth of chest compressions for an adult victim? 2 inches or 5 cm What should be the depth of chest compressions for an infant? 1 1/2 inches or 4 cm What is the compression-to-ventilation ratio for an adult victim with 1 rescuer? 30 compressions / 2 ve...

what is the hand position for child chest compressions? one or two hands heel of the hand on the center of the chest lower half of the breast bone. how far do you compress for child cpr? 4-5 cm at what rate do you do compressions? 100 bpm what is the name of the method used to open the airway? head tilt- chin lift how do you know the breath's went into the victims lungs? the chest will rise

You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is most important now? Obtaining a 12 lead ECG. What is the preferred method of access for epi administration during cardiac arrest in most pts? Peripheral IV An AED does not promptly analyze a rythm. What is your next step? Begin chest compressions. You have completed 2 min of CPR. The ECG monito...